Active NPI
Marla J Holt, MFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1811025901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT42698
- Practice address
- 3815 Atlantic Ave Ste 1
Long Beach, CA 90807 - Phone
- (562) 310-5738
- Fax
- (562) 595-4122
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT42698 | CA | Primary |
Addresses
Primary practice location
3815 Atlantic Ave Ste 1
Long Beach, CA 90807
Mailing address
4276 Pepperwood Ave
Long Beach, CA 90808-1534
Phone (562) 310-5738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 19, 2024 through Nov 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT42698 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1811025901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4276 PEPPERWOOD AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081534",
"telephone_number": "562-310-5738",
"fax_number": "562-595-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 ATLANTIC AVE STE 1",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90807",
"telephone_number": "562-310-5738",
"fax_number": "562-595-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MARLA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT42698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.